Evidence map›Paper›PMID 27357193›Full record

ArticleBMJ open2016

Perceptions of risk and predictive testing held by the first-degree relatives of patients with rheumatoid arthritis in England, Austria and Germany: a qualitative study.

Rebecca J Stack, Michaela Stoffer, Mathias Englbrecht, Erika Mosor, Marie Falahee, Gwenda Simons, Josef Smolen, Georg Schett, Chris D Buckley, Kanta Kumar and 4 more

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Rebecca J StackInstitute for Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK Division of Psychology, Nottingham Trent University, Nottingham, UK.
Michaela StofferDivision of Rheumatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria University of Applied Sciences for Health Professionals, Upper Austria, Austria.
Mathias EnglbrechtDepartment of Internal Medicine 3, University of Erlangen-Nuremberg, Erlangen, Germany.
Erika MosorDivision of Rheumatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Marie FalaheeInstitute for Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Gwenda SimonsInstitute for Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Josef SmolenDivision of Rheumatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Georg SchettDepartment of Internal Medicine 3, University of Erlangen-Nuremberg, Erlangen, Germany.
Chris D BuckleyInstitute for Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK Division of Psychology, Nottingham Trent University, Nottingham, UK.
Kanta KumarFaculty of Medical and Human Sciences, School of Nursing, University of Manchester, Manchester, UK.
Mats HanssonCentre for Research Ethics and Bioethics, Uppsala University, Uppsala, Sweden.
Axel HueberDepartment of Internal Medicine 3, University of Erlangen-Nuremberg, Erlangen, Germany.
Tanja StammDivision of Rheumatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Karim RazaInstitute for Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK Department of Rheumatology, Sandwell & West Birmingham Hospitals NHS Trust, Birmingham, UK.

Funding

Versus Arthritis 19791
6 · The paper itself

Abstract

objectivesThe family members of patients with rheumatoid arthritis (RA) are at increased risk of developing RA and are potential candidates for predictive testing. This study explored the perceptions of first-degree relatives of people with RA about being at risk of RA and engaging in predictive testing.

methods34 first-degree relatives (siblings and offspring) of patients with RA from the UK, Germany and Austria participated in semistructured interviews about their perceptions of RA risk and the prospect of predictive testing. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis.

resultsFirst-degree relatives were aware of their susceptibility to RA, but were unsure of the extent of their risk. When considering their future risk, some relatives were concerned about the potential impact that RA would have on their lives. Relatives were concerned that knowing their actual risk would increase their anxiety and would affect decisions about their future. Also, relatives were concerned about the levels of uncertainty associated with predictive testing. Those in favour of knowing their future risk felt that they would need additional support to understand the risk information and cope with the emotional impact of this information.

conclusionsIdentifying individuals at risk of RA may allow targeted interventions to reduce the risk and consequence of future disease; however, relatives have concerns about predictive testing and risk information. The development of strategies to quantify and communicate risk needs to take these views into account and incorporate approaches to mitigate concerns and minimise the psychological impact of risk information.

Indexed as

FamilyAdultAgedArthritis, RheumatoidAustriaAwarenessCommunicationEnglandFemaleGenetic Predisposition to DiseaseGermanyHealth Knowledge, Attitudes, PracticeHeredityHumansMaleMiddle AgedQUALITATIVE RESEARCHRheumatoid ArthritisRisk

Identifiers

PMID27357193
PMCPMC4932277

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.